771 Wonderful hands, rejuvenation
"Double plasmapheresis has just ended, wait a minute, don't worry." Zhou Tianbo said with a wry smile.
"I changed to A/C mode a few hours ago, and I don't know who gave him confidence."
“……”
"What's going on, it is said that the provincial tertiary hospital, or the affiliated hospital of the medical school, should be very strong. That's it? ”
Wei Fusi said disdainfully, his face full of disdain.
That's it?
That's it!!
The last two words were like two bullets hitting Zhou Tianbo's chest, and he felt a little difficult to breathe.
Zhou Tianbo felt that there would be thunder on Wei Fusi's head in the next second, and he wanted to stay away from him.
Looking at the ventilator panel seriously, Zhou Tianbo was a little disappointed.
After trying double plasma exchange, the patient's spontaneous breathing still did not appear, which undoubtedly made Zhou Tianbo feel a little uncomfortable.
How nice it would be if the waveform moved.
But at this time, as a doctor, it doesn't matter if you don't express regrets, how can you question the medical level of the Second Affiliated Hospital like Wei Fusi.
Normally...... Forget it, Zhou Tianbo sighed.
Subconsciously, he moved a little in the opposite direction of Wei Fusi, dodging the thunder that would fall from the sky at any time.
Lao Wei has gone crazy, and the selection of Jieqing has reached the point of no further weight in his heart, and now his mind is full of the amount of surgery, and he can't listen to any persuasion from others at all.
That's it, thunder doesn't split him, he splits anyone.
"When are you going to wait?" Wevos looked sideways at the intensivist waiting on the side.
"I'll ask." The intensivist doctor is very embarrassed, Director Bai is here, and this matter is no longer something that the director can do.
"Ask, huh!" Wevos made no secret of his hostility and disdain, and in his opinion it must have been the old doctor who had just changed his ventilation mode to do it.
The biggest possibility is that the opponent who selected the outstanding young man is looking for him to block himself!
Otherwise, with such an obvious brain death and vegetative state, the patient's family is still very reasonable and agrees to do organ donation early on, why do they keep blocking themselves.
Even Wei Fusi suspected that Zhou Tianbo wanted to see himself lively!
The entire Second Attached Courtyard is not a good person!!
"Teacher, don't worry, if there is no accident, the patient's breathing rate will change in about five minutes, and you will see the patient's spontaneous breathing begin to recover."
Ji Xiang walked over and said softly.
Zhou Tianbo's brain "buzzed".
Ji Xiang didn't say that it was okay, wait, in a few hours, he would even have to do a second double plasma exchange try.
Ke Jixiang actually gave a definite time of 5 minutes.
This kid can really do a lot of things.
The thunder in his imagination is not like this, Ji Xiang is doing this to find death.
Zhou Tianbo tried his best to give Ji Xiang a look and asked him not to talk too much.
But his eyes were about to fly out, but Ji Xiang didn't look at it at all, staring at the panel of the ventilator.
"Five minutes? Are you sure? No, what right do you have to stand here and speak! Wei Fusi turned his head sideways and saw that it was Ji Xiang, and there was no "old doctor" behind him who was full of confidence to change the ventilator mode, so he was full of confidence and opened directly.
The young doctor who ranked first in the country in the medical practitioner examination is very good, but he is definitely not qualified to point fingers and compare and compare.
"Huh?" Ji Xiang was stunned for a moment, and then smiled, "This is very simple medical common sense." ”
Zhou Tianbo covered his forehead.
Is Ji Xiang dying?
Wei Fusi laughed angrily, and he looked at Ji Xiang with a stupid gaze.
In less than a second, the corners of his mouth rose and an arc was drawn.
"Simple medical common sense, I don't even know, it's really damn it." Wevos scoffed.
Hearing him use the word "damn", Zhou Tianbo dragged Ji Xiang's white clothes.
Unexpectedly, Ji Xiang raised his hand and revealed an old electronic watch.
"There are still 4 minutes and 22 seconds left."
Hearing Ji Xiang speak in such an affirmative tone, Zhou Tianbo almost believed it.
After all, he had seen Ji Xiang have undergone surgery, and even "encountered" the gaze of senior doctors, and he had a deep fear of Ji Xiang in his heart.
If it were someone else, even if his boss Gu Lao said that the patient would breathe spontaneously in 4 minutes and 22 seconds, Zhou Tianbo would scoff at it.
Even if you don't question it in person, you will slander it in your heart.
But this was said by Ji Xiang.
If it weren't so outrageous, he would have believed it.
No one could have predicted it so accurately.
Even if the patient undergoes double plasma exchange to help the patient accelerate drug metabolism and wake her up from a deep coma without spontaneous breathing, there is absolutely no time to control.
Many factors are variables, and doctors are absolutely not capable of accurately predicting them.
Being able to "predict" that the patient will regain spontaneous breathing is already a manifestation of self-confidence.
"Then I'll have to ask for advice." Wei Fusi sneered and looked at Ji Xiang's watch, "Electronic watch? I didn't expect you to be quite retro. ”
Ji Xiang's raised arm did not let go, he smiled and looked at the time on his watch.
His arms were like rocks.
"Excuse me, that's not good, I'm just a doctor and I don't know that much. If the teacher says that he will wake up, he will definitely wake up. Oh, no, it's spontaneous breathing, I said it wrong, don't mind, Mr. Wei. ”
Wei Fusi was determined in his heart and wanted to take this opportunity to vent all his dissatisfaction and grievances.
He looked coldly at the old electronic watch on Ji Xiang's wrist, "The level of your Second Affiliated Hospital is really high, if the patient can wake up on time, I must come to study." ”
"You don't need to study." Ji Xiang stared at his watch and said lightly, "This is the most basic common sense, if you want to learn, Mr. Wei, it's better to go back to the university and learn again." ”
“!!!”
Zhou Tianbo was stunned for a moment.
Ji Xiang in his understanding is the kind of person with a gentle temper, of course, in addition to being glared at by him on the operating table, he always has nightmares.
Usually, Zhou Tianbo had never seen Ji Xiang so intimidating.
It turned out that the "rumors" that the demon capital couldn't take care of Qin Chuqin's boss and couldn't take care of himself, and he had entered a state of retirement.
When encountering injustices, I and the vast majority of other people will remain silent, as long as it has nothing to do with me.
But Ji Xiang is different, he really dares to shoot the case.
From Qin Chu to Wei Fusi in front of him......
The key is that Ji Xiang's words are simply too shady, and Zhou Tianbo suspects that he is in Wei Fusi's position, and when he hears this kind of words, he can't help but explode.
But he raised his head slightly and glanced at Ji Xiang.
Although handsome, the sturdy body is definitely no joke.
If you can't beat it, forget it.
It is estimated that Wei Fusi did not dare to make a move.
If it was really a flying knife, but it was violently beaten by the local students, he would not have the face to tell anyone when he returned to the imperial capital.
And it's so hard to make trouble.
Zhou Tianbo quickly recalled Ji Xiang's words, and gave Ji Xiang a thumbs up in his heart.
Dr. Xiao Ji's temper came up, and it was a real loss.
The feeling that the bamboo shoots all over the mountain have been dug up by him.
"I'll have 3 minutes and 45 seconds, and I'm going to see what you'll explain to me if I'm not breathing on my own." Wei Fusi's face flushed with anger.
But his thoughts are the same as Zhou Tianbo's.
I can't beat it with my hands, so I ...... I can't scold it.
After all, he is a professor-level person, and if he really scolds him, he will lose his manners.
is not afraid of losing his demeanor, Wei Fusi is afraid that he will tear his old face, but in the end he will be scolded for being scolded.
Wait a few minutes, and then tell the truth!
When the time comes, he will use the facts as a basis, open the bow left and right, and smoke this young man who doesn't know the height of the sky and the thickness of the earth all over the ground to find his teeth.
By the way, I also want to teach him a lesson about the backstage who supports him and makes trouble for himself.
"Oh? The patient will be able to breathe on his own in a few minutes. ”
Director Bai and Director Liu came in, Director Bai was talking and laughing with Director Liu, and after hearing Wei Fusi's words, he answered by the way.
"You're a professor of neurosurgery?" Wills asked.
"I'm the Chief of the Medical Service, and I come from a neurosurgical background." Director Bai replied lightly.
"Is that how you educate doctors?" Wei Fusi almost pointed to Director Bai's nose and asked.
Director Bai smiled faintly, "A few minutes, wait to tell you the answer, don't worry." ”
One is stiff and the other is soft and weak, Wei Fusi was slapped twice by Ji Xiang and Director Bai, and he was upset.
"There's something really wrong with your second hospital!" Wevos had already burst out unconsciously.
"Xiao Ji, how long is it left?" Director Bai asked.
"3 minutes and 14 seconds."
"Oh, we need to do another double plasma exchange."
"It's better to do it again."
"Let's start now, don't wait." Director Bai waved his hand, and the critically ill doctor didn't dare to take a stubble, and began to re-operate the double plasma exchange.
"You guys!" Wei Fusi looked at Director Bai with disdain, "How many benefits does the manufacturer give you, do it again and again!" ”
"Don't talk nonsense." Director Bai smiled and said, "How can you be an expert in the imperial capital's fame, how can you say this kind of." ”
“……”
"Our hospital has done a very good job of integrity, can it be said that similar things in your hospital are still emerging in an endless stream?"
Faced with Director Bai's question, Wei Fusi almost spurted out a mouthful of old blood.
Damn it!
One old and one young, there is no good thing.
Wevos must even have promised some benefits from the manufacturer, so the medical department will come forward to find a "suitable" patient to continue to do double plasma exchange.
3 points
2 minutes and 45 seconds
2 minutes 02 seconds
1 minute and 19 seconds
59 seconds
10 seconds
Time passed little by little, and it seemed that it was about to reach the time that Ji Xiang said.
Wei Fusi's gaze kept wandering back and forth between the panel of the ventilator and the electronic watch on Ji Xiang's wrist.
00:00:01!
When the time comes, be sure to give them a good look!
Wei Fusi had already held back countless anger in his heart, and he was about to attack as soon as the time came.
For another second, Wevos looked up at the ventilator panel.
The rhythm of breathing is smooth and regular.
This is the rhythm of the machine's breathing, and when there is spontaneous breathing, the graphics will definitely not be so regular.
"It's time, breathe ......"
Seeing the neat figure, Wei Fusi had just said half a sentence and was about to start mocking.
He was prepared to never give up if he didn't scold the Second Affiliated Court as a dog today.
But as soon as he said a few words, the graphics on the panel of the ventilator suddenly jumped.
Air condenses throughout the ICU.
Not only Wei Fusi, but even Zhou Tianbo, Director Bai, Director Liu, and Director of Critical Care were stunned.
The otherwise steady breathing pattern suddenly appeared a hint of dissonance.
The neat graphics are broken by a force, and the graphics don't look beautiful.
However!
What this force means, everyone present knows - it is because of the power of spontaneous breathing, the ventilator adjusts the breathing pattern.
It's true!
It turned out to be true!
"Impossible." Wei Fusi muttered, then he clenched his hands into fists and almost shouted subconsciously, "It must be interference!" ”
No one contradicted Wevos's point.
After a few seconds, this "interference" became more dense and frequent, and the graphics on the ventilator panel began to become irregular.
The patient, as scheduled, appeared to breathe spontaneously!
Director Bai cautiously saw the 12th waveform with a "problem" and a smile appeared on his face.
Every time I believe in Dr. Koji, I will not let myself down.
He could prepare an estimate in even 5 minutes, what else could he not do?
"One more plasmapheresis." Director Bai smiled, "It seems that this thing is a bit expensive, but it's still quite useful." ”
"New technologies and new equipment still have to be used." Director Liu was also worried, and said with a smile, "Otherwise, many patients will die in a daze." ”
This sentence is directed at Wei Fusi.
Wei Fusi's hands clenched into fists, his face flushed and white, and a gurgling sound came from his throat.
The facts are right in front of you.
Originally, Wei Fu thought that he wanted to use facts to speak to slap the face of the Second Affiliated Court.
But now it has become the Second Affiliated Court slapping itself in the face with facts.
An invisible hand twitched over and over Wevos's face, and every change in breathing rate and pattern made him more and more embarrassed.
"Xiao Ji, what's going on?" Zhou Tianbo muttered.
"I learned it when I was in school." Ji Xiang replied with a smile, "If Teacher Wei wants to learn, you can go back to your school and ask the teacher." ”
Damn it!
If Wei Fusi hadn't been able to beat Ji Xiang, he would have done it a long time ago.
10,000% of the teachers in the school will not talk about double plasma exchange, let alone such a complex case.
This young man is really bad!
But in the face of the facts, Wei Fusi couldn't say a word of rebuttal.
He turned and walked away.
What's the point of staying?
In addition to letting that little rule Pearson keep slapping his face with words.
Wei Fusi was extremely sad and depressed, he didn't know what the logic was, and he didn't know why Ji Xiang could accurately judge that the patient would breathe spontaneously after 5 minutes.
"Teacher Wei, do you study? If it's inconvenient to go back to school, I'm afraid that the teacher will scold you, I'll teach you. Ji Xiang asked softly.
Wei Fusi's chest was tight, and a mouthful of blood spurted out.
Being scolded by a regular trainee pointing at his nose felt extremely sour.
"桄榔~"
Wei Fusi mixed garlic under his feet, fell headlong, and held the ambulance with his hands, almost not overturning the ambulance.
"Guard." Zhou Tianbo immediately stepped forward to support Wei Fusi.
"Let's go." Wei Fusi lowered his head, didn't dare to look at Zhou Tianbo, and limped out of the intensive care ward.
Director Bai smiled at what happened.
After Wei Fusi and Zhou Tianbo left, he asked, "Xiao Ji, how do you tell that the patient will definitely wake up at this time?" ”
"I've always been lucky, Director Bai, you know." Ji Xiang said perfunctorily.
Although he has a good relationship with Director Bai, he can't say that he has rescued more than 20 times in the operating room of the system, and finally he can use the plug-in to determine the time.
"Luck, hey." Director Bai didn't delve into it, just nodded, "You're really lucky." ”
"What's next?" Director Liu asked.
"After 1-2 more times of double plasma exchange, the drug concentration will be reduced, and the patient will get better and better. Just be careful not to have venous thrombosis, nothing else is special. ”
"How long will it take?"
"24 hours, it should be about the same."
Hearing the answer given by Ji Xiang, Director Liu breathed a sigh of relief.
His thoughts are the same as those of Director Bai, and every bit of trust he gives to Ji Xiang will not be disappointed.
Unexpectedly, the patient, who was already brain dead, had a very low neurological score, and could almost be said to be vegetative, regained weak spontaneous breathing after a double plasma exchange.
It's amazing!
In particular, Ji Xiang can accurately judge the time, and Director Liu doesn't understand how Ji Xiang did it.
But if you don't understand, Ji Xiang has already said a perfunctory sentence, and it doesn't make sense to ask any more.
Ji Xiang picked up his mobile phone and dialed Deng Chaohong.
"His watch is retro enough." Director Liu whispered in Director Bai's ear.
"I guess it was sent by a relative." Director Bai said, "I can occasionally see Xiao Ji Dai, but I don't always wear it." ”
"Did you notice?"
"Of course, I'm much more observant than you." Director Bai glanced at Director Liu with disdain.
"Teacher Deng, the patient is awake."
"The daughter of the nurse you know, who just had a double plasmapheresis and is now breathing spontaneously. It is estimated that he can be extubated in 24 hours. ”
"Yes, yes, I don't think it's a big problem, and I will be able to transfer out of the intensive care unit soon."
When Ji Xiang said this, his face was full of smiles.
Indeed, as a doctor, I was full of confidence and joy at that moment when I saw the successful rescue.
It is definitely not too much to say that there is a sense of accomplishment.
Ji Xiang is still young, and at this moment he reveals his true heart.
It didn't take long for Deng Chaohong to hurry over.
He was a little flustered, apparently afraid that Ji Xiang had made a joke with him.
Deng Chaohong didn't even say hello to Director Bai, and ran to the ventilator at a trot.
The patient now looks the same as before, and the only signs are in the breathing pattern.
"Holy, it's true!" Deng Chaohong said excitedly.
"Well, Mr. Deng, let's talk to the patient's family." Ji Xiang Road.
"No need to wait?"
Ji Xiang was also overjoyed, although he was sure that the patient would wake up, but he hesitated.
"Then wait." Director Bai took over Deng Chaohong's question, "Professor Deng will say vaguely first, and then do a double plasma exchange, and then say." ”
"Good!"
Deng Chaohong raised his eyebrows.
He still didn't bother to talk to Director Bai, and walked out while touching his mobile phone.
"Xiao Ji, your temper, restrain yourself a little in the future." Director Liu said with a smile.
"Why?" Director Bai pursed his lips, "Young people are not a little energetic, can they still be called young people?" ”
Director Liu looked at Director Bai like a monster.
Lao Bai usually doesn't do this.
"Look what I'm doing." Director Bai said, "Professor Wei has too many problems, and they are all used to it, and it is for his good to scold him." ”
"Well, for his good." Director Liu said jokingly.
"Xiao Ji wants to stay in the Second Courtyard of our Annex, as long as he is reasonable, who can't scare him?" Director Bai said.
Oh, I see, Director Liu laughed.
"Director Bai, Director, I don't like that Professor Wei very much. I met him in Yuanliao some time ago and told the two of you. Ji Xiang said calmly, "This time he was too anxious." ”
Ji Xiang didn't say too much bad things about Professor Wei, it was not Ji Xiang's style to talk nonsense behind his back, he preferred to say it to his face.
The breathing pattern on the ventilator panel began to fluctuate frequently, and Ji Xiang did not participate in the rest of the treatment.
How to use medicine, whether you need to breathe and let the patient rest more and other things are more trivial. In addition, the second affiliated hospital is very strong, and too many beaks will make people feel dissatisfied.
Ji Xiang glanced at it a few times, and then left with Director Bai and Director Liu.
"Xiaoji, you are really impressing me more and more." Director Liu sighed, "I judged that the patient was choking enough, just like Professor Wei. ”
"Director Bai must be very professional." Ji Xiang said with a smile.
"Our country has also issued two versions of the technical guidance for brain death determination, and the process is very complicated.
First of all, there must be a prerequisite for the determination of brain death, that is, before the determination of brain death, there must be a number of conditions, one of which is to exclude the influence of drugs or poisons that cause coma. ”
Director Bai said leisurely.
"But so be it, it's not going to be solved in a while."
"There are two versions of the criteria for determining brain death!" Director Liu was surprised.
"You don't understand, pick your prostate well."
Director Liu was dumbfounded.
Neurosurgery and cardiac surgery are at the very top of the chain of natural contempt. Urology is only slightly better than anorectal surgery.
"Director Liu, I went back and pondered the ghost hospital bed you mentioned last time, is there any case?" Ji Xiang suddenly asked.
"Oh, you remember that." Director Liu laughed, "It's all a joke." ”
"I don't think it, I feel like you and Director Bai were very serious when they mentioned this."
"The science can't explain it, or the doctors aren't experienced enough. For example, today's incident, do you say that Professor Wei Fu Siwei did it on purpose? Director Bai asked.
"It's not." Ji Xiang said, "He is just too anxious, and our hospital has already given a judgment of brain death." ”
"Yes." Director Bai said, "Don't talk nonsense, I'll hurry up and get busy." There were several medical disputes early this morning, and I came out to see what was going on over there. ”
Ji Xiang's heart moved, but he forcibly suppressed it.
I definitely can't be as lively as Shen Lang, if I go to the infirmary to see the excitement, it will not be good if Director Bai wants to transfer himself to deal with medical disputes.
Although the possibility is extremely low, Ji Xiang still nipped this idea in the bud.
Walking out of the door of the intensive care unit, Ji Xiang saw Deng Chaohong talking to the patient's family.
But before he finished speaking, the patient's family's body was just like the description in the article, the bones were removed, and the softness fell down like noodles.
“!!!”
……
Note: One thing from the People's Hospital of Wuhan University.
(End of chapter)